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HomeMy Public PortalAbout4881 FRATUS DR_Plumbing__ lkh APPLICATION (/�_ �p• Ip.�� PLUMBING q��q�I pyp�,gy fl/�►� PERMIT Ipp� g��qq p����g� DBS 17 10 55 DIVISION OF BUILDING AND SAFETY Deportment of County Engmeer County of Los Angeles BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST OWNER l DISTRICT NO GROUP Z NE READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBE .�, .. r. INSPECTION RECORD aiie- .L � b �g e-1 -. ADDRESS Fleetwood Place Glendora, California CITY D 94 ,, T.E� LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 $ BATH TUB @ $1 00 If SHOWER @ $1 00 LAVATORY (WASH BASIN) @ $1 00 / KITCHEN SINK @ $1 00 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $1 00 WATER HEATER @ $1 OO GAS SYSTEM @ $1 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PROUGH PLUMBING PERMIT $ 1 00 I TOTAL FEE O cc GAS PIPING - -- - GAS VENT pvj-67 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONHOTWATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES J I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY SIGNATURE OF PERMITTEE FINAL JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR CK d 0 CASH LACO7630 APR 3 1 0.0 0 U) 76 A 66-1-�CE 877 8/68 0/ f� l APPLICATION FOR PLUMBING PERMIT g OOUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEARFST JOHN A LAMBIE. COUNTY ENGINEERCOLEMAN W JENKINS SUP T OF BUILDING FOR APPLICANT TO FILL IN(PR NT OTYPE) C.(N1 �r NUMBER FIXTURE OR ITEM EACH FEE 9 WATER CLOSET 1 50 OWNER MAIL l BATH TUB 150 ADDRESS SHOWER 1 5o CITY TEL NO .9 K LAVATORY 1 5o CONTRACTOR C� � SINK 1 5o ADDRESS DISHWASHER 1 5o CITY TEL NO CLOTHES WASHER 1 50 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP ZONE PROCESSED BY d LAWN SPRINKLER SYSTEM 2 00 Q� ._r U WATER HEATER 1 50 INDUSTRIAL Z WASTE APPROVAL o GAS SYSTEM "L—OUTLETS 1 SO INSPECTION RECORD v w OUTLETS OVER 5 PER SYSTEM 30 t/) — � Z Plan check fee 25% of above See reverse PLUNIBING PERMIT ISSUING FEF. S 2 00 TOTAL FEF DO APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK dame ROUGH PLUMBING AddreSS GAS PIPING GAS VENT City 7 el No HOT WATER HEATER � b 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION , AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO - RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL SIGNATURE JACK R. ALLEN, SUPER VISIN CH ANI C AL ENG'R OF PERMITTE PERMIT VALIDATION c K M O C ASH PLAN CHECK VALIDATION CK M 0 CASH WORKERS'COMPENSATION DECLARATION 76AG67A I hereby affirm that I have a certificate of consent to self ce e17 (z-eo) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) COUNTY OF LOS ANGELES �. � BUILDING AND SAFETY Policy No Company �� Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING 't�V r—�'1 (�j �� Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM FEE ADDRESS department LOCALITY WATER CLOSET � Date Applicant NEAREST A BATHTUB CROSS ST �(t_11Pr A �Sc� Nw CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER ��-L(� LAVATORY MAIL >_(This section need not be completed if the work involved ADDRESS �j�j l 1 0- by by the permit is for one hundred dollars ($100) or less) O SINK CITY 1 � l�IE EL NO ��� U I certify that in the performance of the work for which this DISHWASHER tr CONTRACTOR per it is issued, I shall not employ any pers n any manner 8(t_7 Q^/" F_ so t become subject to tl Wor rs'L'om anon aws CLOTHES WASHER i Dat la Applicant ADDRESS LU U SWIMMING POOL RECEPTOR t1 YNO C O APPLICANT If, after mak g t s Ce ificate of CITY TEL NO rA Exempt on, you should become subs Workers' LAWN SPRINKLER SYSTEM z STATE LIC Compensation provisions of the Labor Code, you must forth- LICENSE NO C SSS with comply with such provisions or this permit shall be WATER HEATER deemed revoked GAS SYSTEM OUTLETS A DISTRICT NO P OC SSED LICENSED CONTRACTORS DECLARATION OUTLETS OVER �C I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- V FINAL ��—� / VALIDATI N ness and Professions Code, and my license is in full force and DATES effect i FINAL " License Number Lic Class BY Contractor Date ' I am exempt fromthe licensing requirements as I am a Plan check fee ' licensed architect- •or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code) l p TOTAL FEE 1 Z1�9e5 Lic or Reg No Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name � >l.:T I p G LJ CJ lsC,C .4� � I hereby affirm that I am exempt from the Contractor's Address ` License Law for the following reason (Section 7031 5, Bust City 2 v� (� Tel No aC� - (Q�-] 9 0 4 0 8 A ness and Professions Code) F) I, as owner of the property, am exclusively contracting #l0 0 0 0 0 5 with licensed contractors to construct the project (Section 7044, Business and Professions Code) 2,,- 0 1 0.00 CONSTRUCTION LENDING AGENCY o 0 0 O.0 0 v I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 072,10-81 issued(Sec 3097,Civ C) Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned prop ty for inspection rposes a - i Signature of Penee Date ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT ' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1108090017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS 1 ITR 22321 LT 12 I 1 4881 FRATUS DR I I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803718 1 (ASSESSOR INFORMATION NUMBER II NEAREST CROSS STREET RIO HONDO 18590-030-037 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl 1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30 I 1 ITENANT I TOTAL FEES 44 10 (ISSUED ON PROCESSED BY PLAN BY 1 I I 108/09/11 VG I 10WNER TEL NO 1 IFJIAL DATE FINAL CODE ITODA MASAFUMI,EIKO (626) 285-0311- 1 1 X I 14881 FRATUS DR I I I ITEMP 917803718 IDtSCRIPTION OF WORK 1 I I IA/C CHANGE OUT, CHANGE OUT AND RELOCATE FAU FROM CLOSET TO 1 I I (ATTIC, REPLACE DUCTING 1APPLICANT TEL NO I I I CONTRERAS, CARRA (626) 286-3157- 1 I 1 1 1 ISPECIAL CONDITIONS I I I I I I I I ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE I ICONNOR AIR CONDITIONING (626) 286-3157- I 1 I 14931 ENCINITA AVE LIC NO 1 (UNDER SLAB WORK I I ITEMPLE CITY, CA 91780 403735 C2O 1 I I 1 1 IWATER SERVICE I I 1 1 IPLASTIC Y/N METAL Y/N I I I 1ARCHITECT OR ENGINEER TEL NO 1 I I 1 I I - I IROUGH PLUMBING I 1 LIC NO I I I I 1 I IGAS PIPING I I I I I I I I I I IGAS VENT I I I I I I I I IHOT WATER HEATER 1 I I I I I I 1 IPLUM13ING FIXTURES I I I I I I I 1 ILAWN SPRINKLERS I I I I I I I I I I IGAS TEST I I I I I I I I I (UTILITY COMPANY NOTIFIED( I I I I I I I I I I ICwV I I I I I I I I I I 1GRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID DPR263 ROUTE TO BS0508 1 I I I I I I I • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0711150036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 22321 IT 12 4881 FRATUS DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803718 1 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET RIO HONDO 18590-030-037 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 1 I ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I 1 145 WATER CLOSET/URINAL 1 00 FIX 16 20 111/15/07 SR 05/13/08 1 1 1 TOTAL FEES 76 35 1 1 (OWNER TEL NO 1 1FINAL DATE FINN., BY CODE I ITODA MASAFUMI,EIKO (626) 285-0311- 1 1 LI 1 14881 FRATUS DR I I TEMP 917803718 1 1DESC IPTI N OF WORK I 1 I IPLUMBING FOR NEW BATHROOM I (APPLICANT TEL NO 1 1 I ITODA (626) 285-0311- 1 14881 FRATUS DR I ISPECIAL CONDITIONS I ITEMPLE CITY CA 91780 I 1 I � I ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ITODA, MASAFUMI (626) 285-0311- 1 1 1 14881 FRATUS DR LIC NO 1 (UNDER SLAB SLAB WORKK 1TEMPLE CITY, CA 91780 NONE 1 I I IWATER SERVICE 1 I I 1 1PLASTIC YIN METAL YIN I (ARCHITECT OR ENGINEER TEL NO 1 I I ITODA, MASAFUMI (626) 285-0311- 1 IROUGH PLUMBING 14881 FRATUS DR LIC NO I I 1 (TEMPLE CITY, CA 91780 NONE 1 IGAS PIPING IGAS VENT I I I I I 1 1 IHOT WATER HEATER 1 1 1 I I I 1 1 IPLUM13ING FIXTURES 1 I 1 I I I (LAWN SPRINKLERS 1 I I I 1 IGAS TEST I 1 1 I I I 1 1 1UTILITY COMPANY NOTIFIEDI I 1 I ICwV I I I I 1 IGRAY WATER SYSTEM I I I 1�1e7lI 1 I I I I I 1 I I I I I I_ IREPORT ID DPR263 ROUTE TO BS0508 1 1 1 1 I I I I I